{"title":"Lessons learned towards a best practices model of virtual reality intervention for individuals with intellectual and developmental disability","authors":"M. Lotan, S. Yalon-Chamovitz, P. Weiss","doi":"10.1109/ICVR.2009.5174208","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174208","url":null,"abstract":"Individuals with intellectual and developmental disabilities (IDD) are in need of effective physical fitness training programs, leisure time opportunities and strategies to improve their participation. The overall objective was to gather “lessons learned” towards the formulation of a best practices model for the application of VR intervention for adults with IDD. During study 1 a group of 33 participants (mean age = 28.1 ± 5.3 years; moderate IDD level) underwent a 12 week program of 2–3 30 minute sessions per week consisting of game-like exercises provided by the GestureTek's IREX VR operated by an occupational therapist. During study 2 a research group (N=30; mean age = 52.3 ± 5.8 years; moderate IDD level) participated in a 6 week fitness program of three 30 minute sessions per week consisting of game-like exercises provided by the Sony PlayStation II EyeToy VR system. Changes in physical fitness were monitored by the Energy Expenditure Index (EEI), the modified 12 min walkrun and the Total Heart Beat Index (THBI). Results were compared to a control group (N=30, mean age = 54.3 ± 5.4 years). During study 3, 24 participants with severe levels of IDD (N=30; mean age = 52.3 ± 5.8 years; moderate IDD level) were matched for age, IDD level and functional abilities with a control group (N=30, mean age = 54.3 ± 5.4 years). The research group participated in an 8 week VR program (3 times per week) using GestureTek's IREX video capture technology operated by the local caregiver staff. The VR programs were found to attract full participation by the participants at moderate levels of IDD but some difficulties were found in fully engaging all individuals at severe levels of IDD. Different commercial VR systems were used and were found to be usable by health-profession students and local caregiver staff. Significant (P≪0.05) improvements in physical fitness were demonstrated for the research group in comparison to the control group. VR technology is an effective tool to engage individuals with IDD in a variety of activities by operators of different educational background and professions. VR technology could be successfully operated for adults at mild, moderate and severe levels of IDD and VR technology resulted in significant improvements in the physical fitness levels of the participants. Further research is needed to complete the construction of a “best practice” model.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129927649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wii-based compared to standard of care balance and mobility rehabilitation for two individuals post-stroke","authors":"J. Deutsch, D. Robbins, J. Morrison, P. Bowlby","doi":"10.1109/ICVR.2009.5174216","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174216","url":null,"abstract":"Great interest and some hype have accompanied the introduction of Nintendo Wii-based rehabilitation. The purpose of these cases is to describe a Wii-based balance and mobility program and compare it to a standard of care balance and mobility program for two individuals in the chronic phase post-stroke. Both individuals with left cerebrovascular accidents received four weeks (12 one hour sessions) of either a Nintendo Wii and Wii Fit program or standard of care balance and mobility program. Gait speed, walking endurance (six minute walk test), balance (Dynamic Gait Index) balance confidence (Activity Balance Confidence Questionnaire) and dual tasks mobility tests (Timed-Up and Go) were measured prior to training, upon training completion and at three months post-training. Both individuals demonstrated improvements in most outcomes measured. The percent increases were generally greater for the person in the Wii-based program. Retention of improvements, however, was greater for the individual who received the standard of care. Enthusiasm for new therapies needs to be tempered with evidence of efficacy with particular attention to retention of gains.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128992566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eric A. Heiden, T. Cluff, Brian A. Richardson, R. Balasubramaniam
{"title":"Real-time feedback signal represents the underlying coordination mode of sit-to-stand","authors":"Eric A. Heiden, T. Cluff, Brian A. Richardson, R. Balasubramaniam","doi":"10.1109/ICVR.2009.5174254","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174254","url":null,"abstract":"Rehabilitation of the sit-to-stand movement may be made more effective by providing feedback about the underlying coordination pattern rather than movement parameters. Principal component analysis (PCA) was used to identify coordination modes in sit-to-stand. An algorithm of movement parameters was used to create a visual feedback signal representing this coordination mode in real-time.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117161125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postural behaviors to combined disturbances of the visual field and base of support","authors":"E. Keshner, J. Slaboda","doi":"10.1109/ICVR.2009.5174221","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174221","url":null,"abstract":"This study examines whether combining a sustained mechanical and visual disturbance will modify the automatic postural responses and alter subsequent recovery to vertical orientation in healthy young and older adults and in patients who are post-stroke. Subjects stood on a platform that tilted 3 deg at 30 deg/sec into dorsiflexion while in the dark, with visual motion matched to motion of the head, or with pitch up visual field motion at 30, 45, and 60 deg/sec. The platform was held stable for 30 sec and then returned to neutral at 0.1 deg/sec for 30 sec. EMG responses of lower limb and neck muscles and angular displacement of body segments were recorded. Latencies of the EMG response and magnitudes of muscle and center of mass (COM) motion were calculated. In older adults, EMG response latencies were delayed compared to young adults. In both young and older adults, muscle RMS values were greater with visual field motion than in the dark. The slope and speed of return to a vertical orientation when the base of support was tilted was affected by the presence of visual field motion in all populations. Older subjects demonstrated more sensitivity to the visual inputs and young adults were more sensitive to motion of the base of support. Increased instability in the patients, particularly while the platform returned to neutral, indicates that they were very sensitive to the visual motion when the base of support motion was not reliable. Our data suggest that alterations in the ability to recover an upright position in the presence of visual field motion might underlie the decreased postural stability observed in patients post-stroke and in elderly individuals that exhibit visual sensitivity.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"484 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132653101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Upper limb and grasp rehabilitation and evaluation of stroke patients using HenRiE device","authors":"J. Podobnik, M. Mihelj, M. Munih","doi":"10.1109/ICVR.2009.5174227","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174227","url":null,"abstract":"This paper presents a case study with a HenRiE (Haptic environment for reaching and grasping exercises) device with two hemiparetic subjects. The HenRiE device is intended for use in a robot-aided neurorehabilitation for training of reaching and grasping in haptic environments. The goal of the study is to develop a single system that retrains both hand grasping and releasing movements (which are essential to perform activities of daily living) and arm movements. The system combines a haptic interface and a grasping device, which is mounted on the end-effector of the haptic interface. The paper focuses on experimental training sessions with two hemiparetic subjects. Results show favourable effect both on arm and grasping.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114687299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Faran, Omer Einav, D. Yoeli, Marina Kerzhner, D. Geva, Gilad Magnazi, S. van Kaick, K. Mauritz
{"title":"Reo assessment to guide the ReoGo Therapy: Reliability and validity of novel robotic scores","authors":"S. Faran, Omer Einav, D. Yoeli, Marina Kerzhner, D. Geva, Gilad Magnazi, S. van Kaick, K. Mauritz","doi":"10.1109/ICVR.2009.5174247","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174247","url":null,"abstract":"The ReoGo TherapyTM system, is designed to provide robotic therapy for stroke victims. The success of robotic rehabilitation has called for the need to develop a tool that can quantitatively diagnose as well as monitor therapy of stroke victims. This poster evaluates the validity and reliability of the newly developed Reo Assessment. The Reo Assessment was found to be valid and reliable, and thus opens the path to the development of a standard assessment battery as an integral part of the ReoGo™ therapy.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115937633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Probing the behavioral and physiological correlates underlying projection of the body via 3D virtual haptic environments as a basis for developing novel therapeutic interventions","authors":"L. Raz, P. Weiss, M. Reiner","doi":"10.1109/ICVR.2009.5174239","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174239","url":null,"abstract":"This study demonstrates contributions of haptic feedback to self recognition and the use of virtual environments to probe the physiological correlates underlying body ownership.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117202031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Rutgers Arm II rehabilitation system: A case series","authors":"D. Cioi, G. Burdea, M. Holenski","doi":"10.1109/ICVR.2009.5174259","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174259","url":null,"abstract":"The Rutgers Arm II system consists of a low-friction tilting table, a vision-tracked forearm support, a PC and a large display. Patients play a number of custom Java 3D games using their affected arm while supported by- or resisted by gravity through the table tilting. Four chronic post-stroke subjects (between 6 months and 5 years following stroke) trained for 12 half-hour rehabilitation sessions on the system over four weeks. Their Fugl-Meyer upper extremity subset scores improved 1 to 7 points (10 to 27 %) while arm reach area (measured on the RAII surface) grew between 156% and 307%. Both high- and low-functioning patients were able to play the games, and liked the system (average subjective evaluation of 6 out of 7).","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115125172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alberto Battocchi, F. Pianesi, P. Venuti, Ayelet Ben-Sasson, E. Gal, P. Weiss
{"title":"Collaborative Puzzle Game: Fostering collaboration in children with autistic spectrum disorder (ASD) and with typical development","authors":"Alberto Battocchi, F. Pianesi, P. Venuti, Ayelet Ben-Sasson, E. Gal, P. Weiss","doi":"10.1109/ICVR.2009.5174242","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174242","url":null,"abstract":"We present the design and an initial evaluation of the Collaborative Puzzle Game (CPG), an interactive game designed with the purpose of creating a technology-supported activity for fostering collaboration in children with Autistic Spectrum Disorder. Results show that shaping interaction with a set of system-provided rules called “enforced collaboration” makes interaction more complex but has a positive impact on children's collaboration.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125001214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Nasr, Silvia Torsi, S. Mawson, P. Wright, G. Mountain
{"title":"Self management of stroke supported by assistive technology","authors":"N. Nasr, Silvia Torsi, S. Mawson, P. Wright, G. Mountain","doi":"10.1109/ICVR.2009.5174231","DOIUrl":"https://doi.org/10.1109/ICVR.2009.5174231","url":null,"abstract":"This presentation will describe our study which aims to examine the principles of technology-supported self management in the rehabilitation of stroke as a long term condition by integrating the mixed qualitative research and user-centered design methods.","PeriodicalId":102061,"journal":{"name":"2009 Virtual Rehabilitation International Conference","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128946321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}